{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:48:24Z","timestamp":1777643304403,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Facial Plastic Surgery &amp; Aesthetic Medicine"],"published-print":{"date-parts":[[2024,7,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Nasal skin necrosis represents a severe rhinoplasty complication, potentially leading to nasal deformity and psychological distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To assess the safety, nasal function enhancement, and esthetic satisfaction in individuals with a history of nasal skin necrosis following reconstructive septorhinoplasty using patient-reported outcome measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The case series included patients who underwent reconstructive septorhinoplasty 1 year after experiencing skin necrosis. Skeletal reconstruction was performed with an open approach using various autografts and techniques. The data collected encompassed demographics, medical history, operative reports, and postoperative events. The Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) was administered preoperatively and 1 year postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Most patients were female (35\/38, 92%), with median age of 33.5 years (17\u201357) and 2 prior rhinoplasties (1\u20135) by 1 surgeon (1\u20132). The follow-up median was 23.78 months (11.83\u201354.23). Necrosis predominantly affected the nasal tip and soft tissue triangles. Septorhinoplasty utilized 11\u2009V-shaped columellar base and 27 mid-columella incisions, lasting on average 274\u2009min (175\u2013405). Septal grafts were adequate for reconstruction in only three cases. Autografts for reconstruction encompassed auricular cartilage (31), rib cartilage (22), temporal fascia (14), and rectus fascia (6). SCHNOS scores improved significantly, with the obstruction domain decreasing from a preoperative mean of 75.92 (\u00b122.83) to 34.08 (\u00b127.87) and the cosmesis domain from 85.43 (\u00b119.06) to 39.73 (\u00b123.77). No postoperative severe vascular complication occurred. More previous surgeries linked to decreased patient satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Reconstructive septorhinoplasty can be successful in restoring relatively normal nasal contour following prior soft tissue necrosis, with limited risk for complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/fpsam.2023.0240","type":"journal-article","created":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T17:39:20Z","timestamp":1707845960000},"page":"456-462","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Outcome Evaluation of Reconstructive Septorhinoplasty in Patients with a History of Nasal Skin Necrosis"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1407-1809","authenticated-orcid":false,"given":"Amir A.","family":"Sazgar","sequence":"first","affiliation":[{"name":"Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehr A.","family":"Sazgar","sequence":"additional","affiliation":[{"name":"School of Medicine, Iran University of Medical Sciences, Tehran, Iran."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir K.","family":"Sazgar","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,7,26]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0041-1730384"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000002077"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00238-009-0376-x"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199507000-00041"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000006185"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2021.07.009"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1089\/fpsam.2019.29007.won"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000006561"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/fpsam.2020.0181"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000006782"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820987827"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2018.1163"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjaa323"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.52547\/wjps.11.2.117"},{"key":"e_1_3_6_16_2","first-page":"170","article-title":"The effect of nasal tip defatting on skin thickness in rhinoplasty: A quasi-experimental study","volume":"35","author":"Mohebbi A","year":"2021","unstructured":"Mohebbi A, , Nozari A, , Asadian S, et al. The effect of nasal tip defatting on skin thickness in rhinoplasty: A quasi-experimental study. Med J Islam Repub Iran, 2021; 35:170; doi: 10.47176\/mjiri.35.170: 10.47176\/mjiri.35.170","journal-title":"Med J Islam Repub Iran"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-005-0009-0"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200001000-00056"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.1089\/fpsam.2022.0183"},{"issue":"1","key":"e_1_3_6_20_2","first-page":"S39","article-title":"Facial vascular events and tissue ischemia: A guide to understanding and optimizing wound care","volume":"14","author":"Farmer A","year":"2021","unstructured":"Farmer A, , Murray G, , Croasdell B, et al. Facial vascular events and tissue ischemia: A guide to understanding and optimizing wound care. J Clin Aesthet Dermatol, 2021; 14(12 Suppl 1):S39\u2013S48.","journal-title":"J Clin Aesthet Dermatol"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/1203475417708164"},{"key":"e_1_3_6_22_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.113.000170"},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31829ad339"},{"key":"e_1_3_6_24_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2017.1083"},{"key":"e_1_3_6_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2023.01.005"},{"issue":"5","key":"e_1_3_6_26_2","first-page":"E61","article-title":"Guideline for the management of hyaluronic acid filler-induced vascular occlusion","volume":"14","author":"Murray G","year":"2021","unstructured":"Murray G, , Convery C, , Walker L, et al. Guideline for the management of hyaluronic acid filler-induced vascular occlusion. 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